IndividualActive
Dewey Dixon, D.C.
NPI 1215901236 · Sports Physician Chiropractor · Mounds, IL
Provider details
- NPI number
- 1215901236
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 38-005019 (IL)
Specialties & taxonomies
Chiropractic Providers
Practice location
426 S Blanche St
Mounds, IL 62964-1108
Phone: (618) 745-6894
Fax: (618) 745-6113
Approximate (ZIP-level) locationGet directions
Mailing address
426 S Blanche St
Mounds, IL 62964-1108
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2014-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.